Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $6,159.00 / $22,788.00	Facility		$1,482.00	$6,159.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.70 / $373.74 / $1,911.17	Professional		$305.70	$373.74	$1,911.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,166.00 / $15,328.00	Facility		$2,275.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.35 / $438.41 / $896.06	Professional		$347.35	$438.41	$896.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,485.17	Facility		$67.90	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $213.19 / $315.52 / $751.21	Professional		$213.19	$315.52	$751.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.57 / $2,322.69 / $6,603.60	Facility		$447.57	$2,322.69	$6,603.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.48 / $451.60 / $1,050.04	Professional		$305.48	$451.60	$1,050.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $228.59 / $429.83 / $580.27	Professional		$228.59	$429.83	$580.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.09 / $471.13 / $863.74	Professional		$367.09	$471.13	$863.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,384.48 / $2,100.00 / $11,102.00	Facility		$1,384.48	$2,100.00	$11,102.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,645.44 / $2,705.52 / $3,207.68	Professional		$2,645.44	$2,705.52	$3,207.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $536.15	Professional		$32.34	$32.34	$536.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.45 / $470.54 / $693.60	Facility		$348.45	$470.54	$693.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.85 / $485.97 / $991.94	Professional		$309.85	$485.97	$991.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,185.83 / $1,185.83 / $1,185.83	Professional		$1,185.83	$1,185.83	$1,185.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $228.59 / $381.53 / $476.85	Professional		$228.59	$381.53	$476.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,064.00 / $9,606.00 / $21,278.00	Facility		$3,064.00	$9,606.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.66 / $391.46 / $981.92	Professional		$285.66	$391.46	$981.92